Obesity Epidemic in Texas

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Obesity Epidemic in Texas

• Region XIII Nutrition and Health Resources Fair
• June 4, 2004

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Objectives

• Identify current trends in adult and child
  overweight and obesity in Texas
• Understand the importance of the Strategic Plan
  for Prevention of Obesity in Texas
• Identify obesity prevention initiatives being
  implemented in communities across Texas

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Overweight and Obesity in Adults in Texas

• Body Mass Index (BMI)
• weight (kg)/height2(meters)
• Overweight BMI 25 to 29.9
• Obesity BMI gt or 30

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Obesity Trends Among U.S. AdultsBRFSS, 1991-2002
(BMI 30, or 30 lbs overweight for 5 4 woman)
2002
No Data lt10 1014 1519
2024 25
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Trends in Adult Overweight and Obesity in Texas

• 1990 to 2002 42.9 to 63
• Obesity low-income adults
• Overweight high-income adults.

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Adult Trends - The Facts

• Obesity
• African- Americans 42
• Hispanics 30
• All Texas Adults 24.6
• Obesity and overweight
• Men (69)
• Women (55)
• 45-64 years of age (70)

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Sources for Adult Statistics in Texas

• Behavioral Risk Factor Surveillance Survey
• http//apps.nccd.cdc.gov/brfss/Trends/TrendData.as
  p
• TDH Center for Health Statistics

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Overweight and Obesity in Children in Texas

• Overweight BMI gt or 85th percentile
• Obesity BMI gt or 95th percentile
• By age and gender
• Norms for BMI NCHS/CDC, http//www.cdc.gov/growth
  charts/

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School-aged Children Trends

• Doubled in the last 20 years
• Highest among minorities and males.
• Increasing at a rate similar to that of the adult
  population!

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Prevalence of Obesity in Teens

• 1990 22 (16-18y/o)
• 2001 gt44 (11th graders)

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Prevalence of Obesity in Texas School Children

• 4th grade 22.4 (1.5 X U.S. avg.)
• 8th grade 19.2
• 11th grade 15.5

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Prevalence of Overweight in Texas School Children

• 4th grade 38.7
• 8th grade 37.1
• 11th grade 29.4

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Prevalence of Obesity in Texas School Children

• Highest
• 8th grade Hispanic boys 32.6
• 4th grade African-American girls 30.8
• Lowest
• 11th grade White/other boys 12.7
• 11th grade White/other girls 5.5

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The Future of Obesity in Texas

• Overweight _at_ 12 75 chance of being an
  overweight adult.
• Texas WIC program 2-5 y/o 14
• Current overall 22.1
• Future ?

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Sources for Child Obesity Statistics in Texas

• Youth Risk Behavior Survey Bureau of Chronic
  Disease and Tobacco Prevention
• School Physical Activity and Nutrition Survey
• WIC

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The Cost of Overweight Obesity in Texas

• 10.4 billion in 2001
• 4.2 billion health care
• 6.2 billion lost productivity
• Total 8.8 to 14.2 billion

Texas Dept. of Health - Preliminary Analysis,
Jan. 2004
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Strategic Plan for the Prevention of Obesity in
Texas

• February 2003
• http//www.tdh.state.tx.us/phn/obesity-plan.pdf
• Statewide Obesity Taskforce (SOT)

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Strategic Plan for the Prevention of Obesity in
Texas

• Vision All Texans have a healthy weight through
  physical activity and healthful eating
• Mission To reduce the burden of weight-related
  disease by decreasing the prevalence of obesity

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Strategic Plan for the Prevention of Obesity in
Texas

• Goal 1 Increase awareness of obesity as a public
  health issue that impacts the quality of life of
  families.
• Goal 2 Mobilize families, schools, and
  communities to create opportunities to choose
  lifestyles that promote healthy weight.

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Strategic Plan for the Prevention of Obesity in
Texas

• Goal 3 Promote policies and environmental
  changes that support healthful eating habits and
  physical activity.
• Goal 4 Monitor obesity rates and related
  behaviors and health conditions for planning,
  evaluation, and dissemination activities.

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Strategic Plan for the Prevention of Obesity in
Texas

• Objectives
• Strategies
• Why? How? Target? Desired effect? Evaluation
  methods?

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Strategic Plan for the Prevention of Obesity in
Texas

• ExamplesMobilize...,schools,to create
  opportunities to choose lifestyles that promote
  healthy weight.
• Strategy- Evaluate existing school-based
  nutrition and physical activity policies and
  programs.
• Strategy- Develop an action plan on physical
  activity and nutrition in Texas schools.
• Strategy- Establish alliances between schools,
  health organizations, and communities.

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Strategic Plan for the Prevention of Obesity in
Texas

• Texas State Strategic Health Partnership Goal A
  Improve the health of all Texans by promoting
  healthy nutrition and safe physical activity.
• Next steps for implementation of the Strategic
  Plan.

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Strategic Plan for the Prevention of Obesity in
Texas

• Four workgroups/4 goals
• Work-plans
• action steps, timelines, resources, and
  responsible parties

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Strategic Plan for the Prevention of Obesity in
Texas

• http//www.tdh.state.tx.us/phn/obesity-plan.pdf

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TDH Obesity Prevention Activities

• Increasing awareness
• Training health professionals
• Promoting worksite wellness programs
• Promoting culturally appropriate nutrition and
  physical activity programs
• Advocating for policy and environmental changes.

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TDH Obesity Prevention Activities

• Providing assistance to community coalitions
• Promoting and supporting coordinated school
  health programs

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New Obesity Prevention Initiatives in Texas

• Monitoring obesity rates and related behaviors
  and health conditions
• Developing partnerships with local and statewide
  organizations

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Prevention Activities in Communities- Nutrition

• Breastfeeding education programs in hospitals
• Peer Counseling programs for breastfeeding
  mothers
• Breastfeeding Mothers Rooms at worksites

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Prevention Activities in Communities- Nutrition

• 5 A Day promotion strategies
• Worksite/school policies
• Community gardening projects
• Coupons for farmers markets

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Prevention Activities in Communities- Physical
Activity

• Implementing Walk-to-School programs
• Creation of or enhanced access to places for
  physical activity combined with informational
  activities
• Reduced television/video game time

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Prevention Initiative in Schools

• Senate Bill 19, 77th Texas Legislature.
• Physical activity
• Health Curriculum
• School Health Advisory Committee

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School Health Advisory Councils

• Support planned, sequential health education.
• Support physical education classes.
• Support school health services.
• Promote a healthy school environment.
• Support counseling, psychological, and social
  services.
• Support health promotion for staff.
• Support school nutrition services.
• Support the community-school connection.

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Resources

• http//www.cdc.gov/healthyYouth/
• http//www.schoolhelath.info
• TDH Austin/TDH Regional Offices.
  http//www.tdh.state.tx.us

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• Never doubt that a smallgroup of committed
  peoplecan change the world.Indeed, it is the
  only thingthat ever has.Margaret Mead